Provider Demographics
NPI:1538857073
Name:OTHMAN, LEEN (MD)
Entity type:Individual
Prefix:MS
First Name:LEEN
Middle Name:
Last Name:OTHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ACHRAFIEH, MAR MITR, DORMS SAINT DIMITRIOS
Mailing Address - Street 2:
Mailing Address - City:BEIRUT
Mailing Address - State:BEIRUT
Mailing Address - Zip Code:11000
Mailing Address - Country:LB
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MEDSTAR UNION MEMORIAL HOSPITAL,
Practice Address - Street 2:201 E UNIVERSITY PKWY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:410-554-2284
Practice Address - Fax:410-554-2184
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program